PHUONG NHU THI PHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011147

License Status

ACTIVE

Business

First Name

PHUONG

Middle

NHU THI

Last Name

PHAM

Business Name

PHUONG NHU THI PHAM

Original Issue Date

02/24/2025

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2026